Focused Care of Center: Roach Infestation in Kitchen - TX
Staff at Focused Care of Center had been reporting a roach problem to managers since at least December 2024. By the time inspectors arrived on April 17, 2025, the infestation had outlasted multiple conversations up the chain of command, a can of off-the-shelf pesticide, and four months of scheduled monthly pest control visits that apparently hadn't solved anything.
A dietary aide told the inspector that roaches had been present in the kitchen for at least a month. She said she had reported it to both the Dietary Manager and the Assistant Director of Maintenance, but nothing had been done.
A second kitchen worker, whose name was redacted in the inspection report, said the problem had been going on since December 2024, off and on. She had also reported it to the Dietary Manager and to the ADM. Roaches were still there.
The Dietary Manager, who had worked at the facility for four months, confirmed the roach problem had existed throughout her tenure. When inspectors interviewed her at 1:00 p.m. on April 17, she said pest control had come out that day to spray.
The service order told a more specific story. Pest control had visited on April 16, the day before the inspection. The order documented reports of roaches in the dining room cabinets and kitchen. Technicians applied pest control products in the kitchen, the dish pit, the dining room, the break room, and common areas, targeting both American roaches and German roaches. A follow-up visit was recommended within a week.
The ADM's account of how the facility got to that point was direct. She told the inspector that facility maintenance staff had spotted roaches in the kitchen walls while repairing a leak on or around April 11. Her response was to have staff spray the area with a can of pesticide. She did not call pest control. She said pest control was already scheduled to come the following week for their regular monthly visit, so she waited.
Six days passed between the maintenance crew finding roaches in the walls and pest control arriving. During those six days, the kitchen continued producing meals for residents.
The ADM told the inspector there was no risk to residents from roaches in the kitchen.
Inspectors noted dead insects on top of dry-food storage shelves and stuck to the walls below a food preparation surface. The inspection report cited the failure as placing all residents who eat meals prepared in the facility kitchen at risk of foodborne illness and cross contamination.
The facility's own pest control policy, last revised in May 2008, states the building is to be kept free of insects and rodents on an ongoing basis.
What the record shows is a kitchen where two separate employees reported a roach problem to management and nothing changed, where a maintenance worker found roaches in the walls during a plumbing repair and the response was a can of spray from a hardware store, and where the person responsible for making the call to pest control looked at that sequence of events and concluded the residents eating food prepared in that kitchen were not at risk.
The pest control company recommended a follow-up visit within a week of the April 16 service call. Whether that visit happened before or after inspectors cited the facility is not reflected in the report.
What is reflected: the dietary aide who had been reporting this for a month, the kitchen worker who had been reporting it since December, and the Dietary Manager who had spent her entire four months at the facility watching it remain unresolved.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Focused Care of Center from 2025-04-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
FOCUSED CARE OF CENTER in CENTER, TX was cited for violations during a health inspection on April 22, 2025.
Staff at Focused Care of Center had been reporting a roach problem to managers since at least December 2024.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.